JEFFREY MARK ELLIS

MEDFORD, NY
NPI1417087719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  039551)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Dr. JEFFREY MARK ELLIS D.D.S., M.S.,C.N.S
3237 ROUTE 112 BLDG 6
MEDFORD, NY 11763-1424
Phone number: 631-698-6934
Mailing Address
Dr. JEFFREY MARK ELLIS D.D.S., M.S.,C.N.S
3237 ROUTE 112 BLDG 6
MEDFORD, NY 11763-1424
Phone number: 631-698-6934